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        <Explanation>Funds are used to provide assistance to employees desiring to complete a GED program. FIN 48 FOOTNOTE FORM 990, SCHEDULE D, PART X, LINE 2 In July 2006, the FASB issued guidance regarding accounting for uncertainty in income taxes, which requires that the taxable subsidiaries of the System recognize in their financial statements the effect of a tax position if that tax position is more likely than not of being sustained on audit, based upon the technical merits of the tax position. The System has adopted ASC 740-10 as of the required effective date. The System currently does not have any positions reserved.</Explanation>
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      <Form990ScheduleHPartVI>
        <Identifier>Schedule H Supplemental Information</Identifier>
        <ReturnReference>Part I, Line 3c</ReturnReference>
        <Explanation>Baptist St. Anthony's Hospital uses income-based criteria for determining eligibility for free or discounted care under its financial assistance policy. Financially indigent patients whose gross annual income is 200% of the Federal Poverty Income Guidelines or less are eligible for free care while those with gross annual income between 200% and 400% of the Federal Poverty Income Guidelines are eligible for discounted care under the organization's financial assistance policy. The Hospital also uses an assets test to determine eligibility for charity care. Part I, Line 6a N/A Part I, Line 7 The Hospital used a cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges, to calculate the amounts reported in the table in Part I, line 7. Part II The culture at BSA is to focus all of our creativity and efforts toward the well-being of our patients. At the same time, we also appreciate our position in our community as the community hospital. Our staff members are encouraged to serve on various boards that make our community grow and flourish. We also encourage and accommodate those employees who may not want to serve on an actual board, but who want to actively participate in the many functions that raise funds and awareness about these organizations. An example is one of our employees who serves as a mentor for local high school students throughout the school year. This is done during regular work hours at the expense of BSA. We receive numerous requests each year for financial support of these organizations and try to be wise stewards of our funds and donate to organizations that will make a great impact on our community. An example of this is the donation that we make to the Cancer Symposium each year. We also provide volunteers to work on specific projects that will make that same impact by the manpower provided by BSA. An example is the Loaned Executive to the United Way. We select an employee who would like to work in this capacity and we pay the $750 fee for them to serve in that role. We are proud that BSA is considered a leader in this community and we are especially proud of the efforts made by our employees who want to make a difference. Part III, Line 4 Audited Financial Statement Footnote 7. Patient Accounts Receivable Patient accounts receivable consist of the following at December 31 (in thousands): 2011 2010 Patient accounts, net of contractual allowances $ 57,246 $ 47,187 Less allowance for bad debts (6,128) (4,719) $ 51,118 $ 42,468 The System maintains allowances for uncollectible accounts for estimated losses resulting from a payer's inability to make payments on accounts. The System uses an income statement approach to value the allowance account based on historical write-offs, cash collections, and the aging of the accounts. Accounts are written off when collection efforts have been exhausted. Management continually monitors and adjusts its allowances associated with its receivables. Costing Methodology for Bad Debts The organization has used 2011 audited financial statements and the cost-to-charge ratio methodology provided for in optional Worksheet A - Estimated Bad Debt Expense (at Cost). At the end of 2011, the organization estimated the amount of bad debt expense that could reasonably be attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy. As a result, a reclassifying entry was made from bad debt expense to recognize this amount appropriately as charity. Consequently, a zero amount is being reported in Part III, Section A, Line 3. Part III, Line 8 Methodology used to determine medicare allowable cost The costing methodology is the structure built into the CMS 2552-96, transmittals 23-25. Costs are grouped from the general ledger and classified in the appropriate cost center as allowable or non-reimbursable. Then adjustments are made on w/s A8 for reductions to allowable costs due to income offsetting revenues or costs identified as non reimbursable per CMS regulations. Additionally, costs are reclassified on W/S A6 for proper matching of costs and revenues or nature of the expense incurred. Next, the overhead costs are allocated to the direct and non-reimbursable expenses based on appropriate CMS allocation techniques and statistical bases. The total cost related to the Medicare revenue is taken from the following areas. The accommodation or routine portion of costs is taken from CMS 2552-96 D-1 line 37 for the appropriate Title XVIII provider or sub-provider. Cost for I/P ancillary service are taken from D-4 line 102, column 3. Costs for O/P ancillary services are taken from DV line 102, column 9. Subsidized care services are claimed as a community benefit for the following reason. These services exclude Medicaid and charity services already reported separately. These services are regarded as a community benefits because they are vital to the community in the case of Neonatal, and Obstetrical services furnished at a negative margin by Baptist St Anthony's. Also other health services are provided to older patients with complications and complex health problems. These services are also necessary for public health and could not be fully provided by other resources available in the community if they were not provided by Baptist St Anthony's. Part III, Line 9b The following is an excerpt from the Bad Debt Policy. It refers collectors to the Charity Policy once it is identified that a patient may qualify. The charity policy/procedure is followed from there. When reviewing accounts as potential bad debt, the collection and reviewing personnel should always look for signs that the account might qualify for charity. Such signs may include prior charity, a large dollar amount owed to BSA, employment status, marital status, and any combination of these or other factors that may become evident while working the account. In cases where a patient cannot or will not provide sufficient information to fully document eligibility for Charity Care, a presumption of eligibility may be made based on statistical data and other reliable assumptions so long as those assumptions are properly documented. Presumptive Charity and/or Financial Aid will be applied after all normal collection activities have been exhausted and before accounts are sent to an external collection agency. This may include one or more of the following situations: o Collections and Payment Prediction and Charity Eligibility based on MedeAnalytics o Insurance coverage is no longer in effect. o Patient cannot be located through collection attempts, is unemployed and uninsured. o Patient is unresponsive to collection attempts, is unemployed, uninsured, no credit information available. o Patient resided in a shelter or indicates they are homeless with no income or assets to validate. o Patient is not able to provide income information. o Patient is deceased and there is no estate. o Patient residence is in an area of high poverty. Once a determination of eligibility for Charity Care under Financial or Medical Indigence is made, no further collection efforts shall be pursued for the amount applied toward Charity Care. All patients approved will either be classified as financially indigent, medically indigent, or qualified for financial discount. Part V, Sec B, Line 1J N/A Part V, Sec B, Line 3 N/A Part V, Sec B, Line 4 N/A Part V, Sec B, Line 5c N/A Part V, Sec B, Line 6i N/A Part V, Sec B, Line 7 N/A Part V, Sec B, Line 9 N/A Part V, Sec B, Line 10 N/A Part V, Sec B, Line 11h N/A Part V, Sec B, Line 13g The financial assistance and charity care policy is available upon request; however, patients are notified of the policy as follows: o Patients who have a high deductible or are uninsured are informed of the charity care policy at the time of pre-registration, and patients are then directed to a financial counselor if they wish to pursue financial assistance. o If prior arrangements for financial assistance were not made prior to admission, patients are directed to a financial counselor for screening. o Patients admitted through the emergency department who indicate an inability to pay or are uninsured are screened by financial counselors to determine eligibility for financial assistance. o Patients are notified of the availability of financial assistance at the time of billing. Part V, Sec B, Line 15e N/A Part V, Sec B, Line 16e N/A Part V, Sec B, Line 17e N/A Part V, Sec B, Line 18d N/A Part V, Sec B, Line 19d In keeping with the mission and philosophy of the Baptist St. Anthony's Health System, BSA will apply a discount of 25% on all services provided to uninsured patients, who do not qualify for a 100% discount. In addition, BSA will provide charity care services, within the resources available, to financially or medically indigent patients. These services will be discounted up to 100% depending on patient's need. For those uninsured or underinsured patients who do not qualif</Explanation>
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        <Explanation>Baptist St. Anthony's Health System (BSA) offers academic and/or scholarship assistance to employees through the BSA Education Assistance Program. The program provides scholarship assistance for the achievement of higher education and is designed to encourage development through education for positions within the hospital system. This benefit is subject to the availability of funds each year. Participation in the scholarship program requires a minimum of 3 months employment in good standing and recommendation by his/her director. In addition, scholarship recipients will provide proof of enrollment at an accredited college or university, maintain a 2.75 cumulative GPA, and commit to work at BSA for a designated amount of time upon completion of the degree. Scholarships are available for degree plans, approved by the executive team, to fill necessary vacancies and are subject to change. The number of credit hours enrolled determines scholarship amount awarded. The funds may not completely cover all expenses. The recipient is responsible for paying his/her incurred expenses at the educational institution. Scholarship assistance may be subject to federal taxes and withholding based upon the operative internal revenue regulations in place at the time of payment. Any applicable taxes are the student's/employee's responsibility.</Explanation>
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        <CompBasedOnRelatedOrgs>135002</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>5899</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>140901</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <ReturnReference>Schedule J, Part 1, Question 3</ReturnReference>
        <Explanation>CEO/EXECUTIVE DIRECTORS' COMPENSATION IS DETERMINED BY A RELATED ORGANIZATION, BSA HEALTH SYSTEM. THEREFORE, THE METHODS USED TO DETERMINE THE CEO/EXECUTIVE DIRECTOR'S COMPENSATION ARE IDENTIFIED ON THE BSA HEALTH SYSTEM 990. SCHEDULE J, PART I, LINE 4A ELIZABETH PULLIAM (FORMER VP FINANCE) RECEIVED $140,901 OF SEVERANCE COMPENSATION. THIS AMOUNT IS INCLUDED IN REPORTABLE COMPENSATION. Schedule J, Part 1, Question 4b Effective January 1, 2011, a new Supplemental Executive Retirement Plan was adopted. The new SERP was designed to comply with the requirements of Section 457(F) of the IRC to provide deferred compensation for a select group of management or highly compensated employees. The individuals listed below were eligible for the plan. However, no contributions were funded during the tax year. ROBERT WILLIAMS MICHAEL CRUZ BELINDA GIBSON JOHN NEILSON, MD BRIAN WALTON PAUL HANCOCK, MD Schedule J, Part I, Question 6a &amp; 6b BSAHS paid an Employee Bonus. All employee, excluding the Executive Team, were eligible for the distribution. The compensation was contingent upon two criteria. 1) Net operating income in excess of budget for the consolidated organization 2) Patient satisfaction</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Form 990, Part III, Line 4d</ReturnReference>
        <Explanation>DESCRIPTION OF OTHER PROGRAM SERVICES OTHER PROGRAM REVENUE IS FROM THE PROVISION OF OUTPATIENT ANCILLARY SERVICES INCLUDING, BUT NOT LIMITED TO, LAB, DIAGNOSTIC IMAGING AND CATHETERIZATIONS. IN ADDITION SUPPORTING SERVICES PROVIDED THROUGH A CAFETERIA, PRINT SHOP, LAUNDRY AND OTHERS GENERATE ADDITIONAL REVENUES AND INCUR ADDITIONAL EXPENSES. FORM 990, PART VI, QUESTIONS 6, 7A, &amp; 7B BAPTIST ST. ANTHONY'S HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF BAPTIST ST. ANTHONY'S HOSPITAL CORPORATION. THE BOARD OF TRUSTEES OF BAPTIST ST. ANTHONY HEALTH SYSTEM APPOINTS THE OFFICERS OF THE HOSPITAL AND THE BOARD OF TRUSTEES HAS CERTAIN AUTHORIZATION POWERS, WHICH INCLUDE THE FOLLOWING: (A) AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (B) ANY DEVIATION FROM OR AMENDMENT TO THE BROAD OBJECTIVES OF THE CORPORATION; (C) INCURRENCE OR ASSUMPTION OF ANY CAPITAL INDEBTEDNESS; (D) AUTHORIZING ANY PUBLIC FUND RAISING CAMPAIGN; (E) AUTHORIZING CAPITAL IMPROVEMENTS OR EXPANSION IN EXCESS OF $50,000; (F) DISPOSITION OF ANY PART OF THE CORPORATION'S PHYSICAL PLANT (REAL PROPERTY) HAVING A FAIR MARKET VALUE IN EXCESS OF $50,000; (G) AUTHORIZING THE INCURRENCE OF OPERATING EXPENSES IN EXCESS OF INCOME FOR OPERATIONS, FOR WHICH PURPOSE INCOME AVAILABLE FOR OPERATIONS SHALL INCLUDE DIRECT REVENUES, ENDOWMENT, OR INVESTMENT INCOME, CONTRIBUTIONS, FUNDS PROPERLY TRANSFERABLE FROM SPECIAL PURPOSE FUNDS, AND CONTINGENCY RESERVE FUNDS; (H) DISSOLUTION OF THE CORPORATION; (I) CESSATION OF OPERATIONS OF ANY LICENSED HOSPITAL; (J) SALE, LEASE, MORTGAGE, OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (K) APPROVAL OF THE ANNUAL STRATEGIC / OPERATING PLAN, IF ANY, THE ANNUAL BUDGET AND THE ANNUAL COMMUNITY BENEFIT PLAN, IF ANY, OF THE CORPORATION FORM 990, PART VI, QUESTION 11B THE FORM 990 IS PRESENTED TO EACH BOARD MEMBER AND REVIEWED PRIOR TO FILING. FORM 990, PART VI, QUESTION 12C THE CODE OF COMPLIANCE POLICY REQUIRES EMPLOYEES TO DISCLOSE CONFLICTS OF INTEREST. A "STATEMENT OF UNDERSTANDING" ACKNOWLEDGES THAT THE EMPLOYEE AGREES TO COMPLY WITH THE POLICY AND FAILURE TO COMPLY MAY BE GROUNDS FOR TERMINATION. THIS STATEMENT SHALL BE SIGNED BY EVERY NEW EMPLOYEE AND SHALL BE SIGNED ANNUALLY BY DEPARTMENT DIRECTORS, SUPERVISORS AND SELECTED EMPLOYEES. SELECTED EMPLOYEES SHALL COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. THE DIRECTOR OF CORPORATE COMPLIANCE REVIEWS ALL DISCLOSURES AND DETERMINES IF A CONFLICT EXISTS, AND REPORTS TO THE CHIEF COMPLIANCE OFFICER (CFO). IN MATTERS RELATED TO A DEPARTMENT DIRECTOR, SUPERVISOR OR SELECTED EMPLOYEE, THE CONFLICT OF INTEREST SHOULD BE RESOLVED BY DIRECTING THE EMPLOYEE TO DISCONTINUE OUTSIDE RELATIONSHIP/ACTIVITY, ABSTAIN FROM PARTICIPATING IN DECISION WHERE A CONFLICT EXISTS, OR DISCONTINUING BSA'S RELATIONSHIP WITH OUTSIDE ORGANIZATION. A MANAGEMENT PLAN SHALL BE ESTABLISHED TO MONITOR RELATIONSHIP/ACTIVITY SO AS TO ELIMINATE RISK. DIRECTORS, OFFICERS, AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS SHALL SIGN AN ANNUAL STATEMENT THAT THE PERSON RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, UNDERSTANDS THE POLICY AND AGREES TO COMPLY, AND UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS. TO DETERMINE WHETHER A POTENTIAL CONFLICT EXISTS, ALL EXISTENCES OF FINANCIAL INTEREST AND ALL MATERIAL FACTS MUST BE DISCLOSED TO THE BOARD OF DIRECTORS OR COMMITTEE FOR INVESTIGATION. AFTER INVESTIGATION, THE BOARD OF DIRECTORS MUST TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, WHICH COULD INCLUDE LEGAL REMEDIES AND POSSIBLE SANCTIONS AGAINST THE INTERESTED PERSON. RECORDS WILL BE INCLUDED IN THE MINUTES OF THE BOARD MEETINGS AND ALL COMMITTEES WITH BOARD DELEGATED POWER. PERIODIC REVIEWS SHALL BE CONDUCTED BY THE DIRECTORS AND OFFICERS TO ENSURE THAT BSA AND TAX EXEMPT ENTITIES OPERATE IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX. THIS POLICY IS ADMINISTERED AND ENFORCED BY THE BOARD OF DIRECTORS OF EACH TAX EXEMPT ENTITY. FORM 990, PART VI, QUESTIONS 15B BAPTIST ST. ANTHONY'S HOSPITAL CORPORATION OFFICERS AND KEY EMPLOYEE COMPENSATION IS DIRECTED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES, THE CORPORATION CONTRACTS WITH SULLIVAN, COTTER, AND ASSOCIATES OF MINNEAPOLIS, MINNESOTA TO REVIEW THE DUTIES AND COMPENSATION. SULLIVAN COTTER CONFIRMS THAT COMPENSATION IS REASONABLE. SULLIVAN COTTER COMMUNICATES DIRECTLY WITH THE EXECUTIVE COMMITTEE ON MATTERS OF EXECUTIVE COMPENSATION. THE MOST RECENT REVIEW WAS COMPLETED IN 2012. FORM 990, PART VI, QUESTION 19 OUR 990'S ARE AVAILABLE ON GUIDESTAR AND UPON REQUEST. GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, QUESTION 5 CHANGE IN UNREALIZED GAINS/LOSSES $5,232,242</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ROBERT WILLIAMS TITLE:CEO HOURS:18</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:BELINDA GIBSON TITLE:VP PATIENT SERVICES HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:BRIAN WALTON TITLE:CFO/VP FINANCE HOURS:10</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:MICHAEL CRUZ TITLE:VP OPERATIONS HOURS:10</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JOHN WILLIAM NEILSON, MD TITLE:VP MEDICAL AFFAIRS HOURS:10</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:PAUL HANCOCK, MD TITLE:VICE PRESIDENT HOURS:34</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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        </NameOfDisregardedEntity>
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          <City>Amarillo</City>
          <State>TX</State>
          <ZIPCode>79106</ZIPCode>
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        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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        </NameOfDisregardedEntity>
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          <City>Amarillo</City>
          <State>TX</State>
          <ZIPCode>79106</ZIPCode>
        </AddressUS>
        <EIN>752565440</EIN>
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        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>BSAHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
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        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3310 Danvers</AddressLine1>
          <City>Amarillo</City>
          <State>TX</State>
          <ZIPCode>79106</ZIPCode>
        </AddressUS>
        <EIN>752160474</EIN>
        <PrimaryActivities>Fundraising</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BSAHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
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          <AddressLine1>3310 Danvers</AddressLine1>
          <City>Amarillo</City>
          <State>TX</State>
          <ZIPCode>79106</ZIPCode>
        </AddressUS>
        <EIN>751858993</EIN>
        <PrimaryActivities>Parent Corp</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11,III,FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>The Don &amp; Sybil Harrington Cancer Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1500 WALLACE BLVD</AddressLine1>
          <City>Amarillo</City>
          <State>TX</State>
          <ZIPCode>79106</ZIPCode>
        </AddressUS>
        <EIN>751578415</EIN>
        <PrimaryActivities>Cancer Center</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BSAHS</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Harrington Physicians Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1500 Wallace Blvd</AddressLine1>
          <City>Amarillo</City>
          <State>TX</State>
          <ZIPCode>78106</ZIPCode>
        </AddressUS>
        <EIN>752312574</EIN>
        <PrimaryActivities>MEDICAL CARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HCC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Physicians Surgical Hospitals LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1600 Wallace Blvd</AddressLine1>
          <City>Amarillo</City>
          <State>TX</State>
          <ZIPCode>79106</ZIPCode>
        </AddressUS>
        <EIN>731620274</EIN>
        <PrimaryActivity>Stand-alone Hosp</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>Related</PredominantIncomeType>
        <ShareOfTotalIncome>10831396</ShareOfTotalIncome>
        <ShareOfEOYAssets>31680877</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
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      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Physicians Surgical Real Estate LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1600 Wallace Blvd</AddressLine1>
          <City>Amarillo</City>
          <State>TX</State>
          <ZIPCode>79106</ZIPCode>
        </AddressUS>
        <EIN>202894224</EIN>
        <PrimaryActivity>Holding Company</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>Related</PredominantIncomeType>
        <ShareOfTotalIncome>847123</ShareOfTotalIncome>
        <ShareOfEOYAssets>7356140</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
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      </Form990ScheduleRPartIII>
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        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3310 Danvers</AddressLine1>
          <City>Amarillo</City>
          <State>TX</State>
          <ZIPCode>79106</ZIPCode>
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        <EIN>752058579</EIN>
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        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
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      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
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      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
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      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
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        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        <AmountInvolved>1390723</AmountInvolved>
        <MethodOfAmtDetermination>cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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        <AmountInvolved>1168554</AmountInvolved>
        <MethodOfAmtDetermination>cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>26120441</AmountInvolved>
        <MethodOfAmtDetermination>cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>